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Ishan Panchal, DO
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1639872450

Ishan Panchal is a Student in an Organized Health Care Education/Training Program based in Lawrenceville, GA. Ishan Panchal practices in Lawrenceville, GA and has the professional credentials of DO. The NPI Number for Ishan Panchal is 1639872450 and holds a License No. (Georgia).

The current practice location address for Ishan Panchal is 665 Duluth Hwy Ste 401, Lawrenceville, GA and can be reached out via phone at 678-312-1000.

Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639872450
Provider Name
Ishan Panchal
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Phone Number
678-312-1000
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
678-312-1000
Fax Number
person
Provider Business Mailing Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
678-312-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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